CAJ | 학술논문

目的：探讨部队三甲医院成立护理文书管理学组对护理文书质量的影响。方法建立护理文书管理学组，对医院护理文书进行质量管理，比较实施前后护理病例质量检查得分情况。结果实施后护理病例质量检查得分显著高于实施前（P＜0．01）。结论成立护理文书管理学组，强化护理文书质量的环节管理与终末质量管理，能够有效提高护理文书质量，避免因护理文书书写引起的法律纠纷。
목적：탐토부대삼갑의원성립호리문서관이학조대호리문서질량적영향。방법건립호리문서관이학조，대의원호리문서진행질량관리，비교실시전후호리병례질량검사득분정황。결과실시후호리병례질량검사득분현저고우실시전（P＜0．01）。결론성립호리문서관이학조，강화호리문서질량적배절관리여종말질량관리，능구유효제고호리문서질량，피면인호리문서서사인기적법률규분。
Objective To explore the influence of nursing documents management group (NDMG ) on nursing document quality in grade‐3 A military hospital . Methods T he NDM G w as established and managed the quality of hospital nurs‐ing documents , pre‐ and post‐NDMG nursing case history quality check‐up scores were compared . Results Post‐NDMG nursing case history quality check‐up score was significantly higher (P< 0 .01) . Conclusion The establishment of the NDMG and the strengthen of link and final quality management of nursing documents could effectively improve the quality of nursing documents and avoid legal disputes caused by nursing documents.